DR. VIRGILIO C CARANDANG MD
NPI 1821037250
Family Medicine in Houston, TX
Active since June 04, 2006PECOS Enrolled
About Dr. Virgilio C Carandang Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. VIRGILIO C CARANDANG MD (NPI 1821037250) is an individual family medicine provider in Houston, Texas, licensed in Texas (F0915) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
NPI1821037250
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. VIRGILIO C CARANDANGCredential: MD
Location Address1631 NORTH LOOP WEST, SUITE 430Houston, TX 77008
Mailing Address1631 North Loop West, Suite 430Houston, TX 77008 · (713) 864-7633
Phone(713) 864-7633
Sole ProprietorYes
Enumeration DateJune 4, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1821037250 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · F0915
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1631 NORTH LOOP WEST, Houston, TX 77008
Other Names 1
Other Name (5)Dr. Virgil C Carandang
Other Identifiers 8
Other10017569Amerigroup
Other000000EE59TX · Blue Cross Blue Shield
Other751590503Federal Tax Id
Other192108092836Humana
Medicare ID-Type Unspecified00EE59
Medicaid140120008TX
Other0811551Aetna
Medicare UPINB21692
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
✔
Enrolled in Medicare (PECOS)
Dr. Virgilio C Carandang Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.
Areas of Expertise CMS Part B claims 7
Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Established patient office or other outpatient visit, 30-39 minutes 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
66 services46 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
17 services17 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
17 services16 patients
Creatine kinase (cardiac enzyme) level, total 82550
The total Creatine Kinase (CK) level test is a blood test that helps assess the health of your heart. It measures an enzyme called CK that's released into the bloodstream when heart or other muscle tissue is damaged. High levels may indicate a heart attack or muscle disorder.
13 services13 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
12 services12 patients
Urine microalbumin (protein) level 82043
The urine microalbumin level test measures the amount of a protein called albumin in your urine. This test helps to detect early signs of kidney damage. High levels of albumin may suggest your kidneys aren't functioning properly. It's a simple, non-invasive test that involves providing a urine sample.
12 services12 patients
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 77008 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
New Patient
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Reported Quality Measures
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
95%57 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
94%3,985 patients4/55-star benchmark: 100%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
34%32 patients2/55-star benchmark: 96%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
91%22 patients4/55-star benchmark: 100%
Medication Reconciliation Post-Discharge
The percentage of discharges from any inpatient facility (e.g. hospital, skilled nursing facility, or rehabilitation facility) for patients 18 years and older of age seen within 30 days following discharge in the office by the physician, prescribing…
Patients 65+: 100% · 24 patients
100%24 patients
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
59%553 patients3/55-star benchmark: 99%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
72%124 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%119 patients5/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
100%128 patients5/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
86%553 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
30%553 patients3/55-star benchmark: 59%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Internal Medicine (Gastroenterology)
1631 NORTH LOOP WEST, SUITE 655
HOUSTON, TX 77008
HOUSTON, TX 77008
Internal Medicine (Gastroenterology)
1631 NORTH LOOP WEST, SUITE 655
HOUSTON, TX 77008
HOUSTON, TX 77008
Internal Medicine (Pulmonary Disease)
1631 NORTH LOOP WEST, SUITE 550
HOUSTON, TX 77008
HOUSTON, TX 77008
Surgery
1631 NORTH LOOP WEST, SUITE 635
HOUSTON, TX 77008
HOUSTON, TX 77008
Surgery
1631 NORTH LOOP WEST, SUITE 610
HOUSTON, TX 77008
HOUSTON, TX 77008
Internal Medicine (Pulmonary Disease)
1631 NORTH LOOP WEST, SUITE 450
HOUSTON, TX 77008
HOUSTON, TX 77008
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1821037250, enumerated as an "individual" on June 04, 2006.
The provider is located at 1631 NORTH LOOP WEST SUITE 430 HOUSTON, TX 77008 and the phone number is (713) 864-7633.
Family Medicine with taxonomy code 207Q00000X.
The provider might be accepting Accepts: Amerigroup, Medicare, Medicaid, Blue Cross Blue. Please consult your insurance carrier or call the provider to verify.
